Russell Michael Dea

NPI #1235994393 in La Canada, California

Provider Information

NPI Number: 1235994393
Entity Type: Individual
Name: Russell Michael Dea
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Feb 19, 2024
Last Updated: Feb 19, 2024

Practice Location

Address: 4539 LONE PINE LN
City: La Canada
State: California
ZIP Code: 91011-1555
Phone: (818) 439-3942

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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